Amanda Weltman Bolling | Santa Rosa, CA • PECOS Search

Amanda Weltman Bolling

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1421 Guernville, Suite 114, Santa Rosa, CA 95403

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda Weltman Bolling does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1295953164
Provider Type
Individual
Full Name
Bolling, Amanda Weltman
Credential
MFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/23/2007
Last Updated
2/11/2022

Contact Information

Practice Location

1421 Guernville, Suite 114, Santa Rosa, CA 95403

Unlisted Fax

Mailing Location

PO Box 747, Glen Ellen, CA 95442

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC39434 California